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Search Results for mdr

Article
Evaluation The Laser Effects on Phage of Acentobacter Bumanii Isolated from Clinical Samples in Iraq/Qadisyiah

Merriam Ghadhanfar Alwan, Noor Adil Abood, Sarah K. Taha, Orooba Meteab Faja, Lina zeyad tarek, Haider Sabah Kadhim, Ziad M. Alkhozai

Pages: 122-131

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Abstract

Objective: Acinetobacter baumannii is a pathogenic bacterium with clinical attributes of nosocomial infection and resistance to antibiotics. Phage therapy represents a potential solution because it can specifically target MDR strains. This study aimed to isolate and characterize a lytic bacteriophage specific to A. baumannii, evaluate its kinetic and lytic properties, and investigate the effects of laser treatment on enhancing phage antibacterial activity against multidrug-resistant clinical isolates. Methods: Clinical specimens were collected from patients in three hospitals in Al-Diwaniyah, Iraq, and A. baumannii isolates were identified using standard biochemical tests, API systems, and 16S rRNA PCR sequencing. Environmental samples were screened to isolate lytic phages, which were propagated, purified, and analyzed using plaque assays and scanning electron microscopy. Phage kinetics—including adsorption rate, eclipse period, lysis time, and burst size—were assessed using standard bacteriophage quantification methods. Laser treatment was applied to evaluate its effect on phage activity under different temperatures and pH conditions. Results: A lytic phage specific to A. baumannii was successfully isolated, exhibiting an icosahedral head and a long tail typical of virulent phages. The phage showed rapid adsorption, a short eclipse period, and a high burst size (~111 phages per infected cell). It demonstrated strong lytic activity at temperatures between 35–45 °C and pH 8–10.5. Laser exposure, at 250 pulses, significantly enhanced phage antibacterial activity, resulting in faster bacterial lysis and increased phage productivity. Conclusions: The combination of phage therapy and laser treatment represents a promising strategy for combating MDR A. baumannii

Article
Prevalence of Multi-drug Resistance in Iraqi Patients with Tuberculosis

Haitham Mahmood Kadhim, Elaf Abdul-wahab, Rahma Hussein, Raghda Mazin

Pages: 17-24

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Abstract

Objective: Tuberculosis (TB) is a bacterial, infectious disease caused by Mycobacterium Tuberculosis complex. TB causes a wide range of clinical infections affecting many parts of the body. Multi-drug resistant tuberculosis (MDR-TB) is caused by bacteria that are resistant to both isoniazid and rifampicin, the most effective anti- TB drugs, or more. MDR-TB presents a major concern in many countries and continues to threaten TB control. Methods: A retrospective cohort study carried out from 5 Jan 2020 to 30 March 2020 at the Specialized Chest and Respiratory Disease Center in Baghdad. The records of the patients who received multidrug treatment were included in the study. On the other hand, all the records that not contain full information about the socio-demographic characteristics, history of travelling or other disease, type and duration of treatment, and drug culture sensitivity excluded from the study. Results: From the 650 patients whom there records were reviewed, 130 patients had single or multi-drug resistance mainly to rifampicin and isoniazide. Comparing the presence of drug resistance according the gender showed that the number of males who had resistance to drugs was higher than that of females. Conclusion: Tuberculosis affects mainly the productive age group. It affects males more than females. Resistance to anti TB drugs was found in one fifth of patients who received treatment.

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